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Lyme Neuroborreliosis Presenting Chiefly with Neuropsychiatric Symptoms Displaying Difficulties in Diagnosis Report of Two Cases     
Yazarlar
Hayrettin Akdeniz
Abant İzzet Baysal Üniversitesi, Türkiye
Lütfullah Beşiroğlu
İzmir Katip Çelebi Üniversitesi, Türkiye
Hasan Karsen
Harran Üniversitesi, Türkiye
Prof. Dr. Mustafa Kasım KARAHOCAGİL
Yüzüncü Yıl Üniversitesi, Türkiye
Mehmet Yücel Ağargün
İstanbul Medipol Üniversitesi, Türkiye
Özet
Lyme disease is an infectious disease caused by the tick-borne spirochete Borrelia burgdorferi. Its clinical hallmark, erythema migrans, is present only in about two thirds of infected patients. After erythema migrans, Bannwarth's syndrome (meningitis, polyradiculoneuritis, cranial nerve palsies) represents the second most common clinical manifestation of acute Borrelia infection, especially in Europe. We describe here two cases of Lyme neuroborreliosis presenting chiefly with neuropsychiatric symptoms displaying difficulties in diagnosis because the patients had no history of tick bite or erythema migrans. In one of the cases, psychiatric complaints were predominant and she had a preliminary diagnosis of catatonic and psychotic disorder due to a general medical condition. The other patient had a clinical picture of meningitis with a protracted course. They were successfully treated with oral doxycycline. Apropos of these two cases, the relevant literature has been reviewed.
Anahtar Kelimeler
Lyme disease, neuroborreliosis, neuropsychiatric symptoms, meningitis, treatment
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCOPUS dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı Journal of Pediatric Infectious Diseases
Dergi ISSN 1305-7707
Dergi Tarandığı Indeksler Academic Source Complete, CAB Abstracts, Embase, Global Health, Google Scholar, Scopus
Makale Dili İngilizce
Basım Tarihi 01-2006
Sayfalar 177 / 183
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları

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